# JENSEN DENTAL AND ASSOCATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093043002
- **Authorized official:** RYAN E. JENSEN D.M.D. (OWNER/DENTIST)
- **Authorized official phone:** (505) 982-4317

## Contact information

- **Practice address:** 1496 S SAINT FRANCIS DR, SANTA FE, NM 87505-4038
- **Practice address phone:** (505) 982-4317
- **Practice address fax:** (505) 982-8663
- **Mailing address:** 1496 S. SAINT FRANCIS DRIVE, SANTA FE, NM 87505
- **Mailing address phone:** (505) 982-4317
- **Mailing address fax:** (505) 982-8663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3139 | NM | Yes |

## Other

- **Enumeration date:** 12/02/2009
- **Last updated:** 02/04/2010